NPI 1891125001

Alexisa M Humphrey, IDMT

Practitioner Independent Duty Medical Technicians Arnold Afb, TN

Practice location

Address: 225 von Karman Rd Bldg 225, Arnold Afb, TN 37389
Phone: (931) 454-5365
Mailing address: 3241 Mitchell St, Tullahoma, TN 37388-4156

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Tennessee →

Registry record

NPI: 1891125001
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Nov 2013
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.